Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at Lower Gornal Medical Practice on 1 March 2016. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
- Patients said they were treated with compassion, dignity and respect and they were involved in their care and decisions about their treatment.
- Patients’ needs were assessed and care was planned and delivered following best practice guidance
- Staff were aware of their responsibilities to raise and report concerns, incidents and near misses. Information about safety was recorded, monitored, reviewed and addressed.
- The practice had clearly defined and embedded systems, processes and practices in place to keep people safe and safeguarded from abuse.
- Clinical audits were carried out to demonstrate quality improvement and to improve patient care and treatment
- Staff we spoke with said they felt valued, supported and that they felt involved in the practices plans.
- Staff worked with multidisciplinary teams to understand and meet the range and complexity of patients’ needs.
- We observed the premises to be visibly clean and tidy. Information for patients about the services available was easy to understand, accessible and available on a variety of formats.
- The practice offered proactive care to meet the needs of its population.
- The practice proactively sought feedback from staff and patients, which it acted on. The practice had an active patient participation group which influenced practice development.
However there were areas of practice where the provider needs to make improvements.
The areas where the provider must make improvements are:
- Ensure fridge temperatures are recorded correctly, in line with national guidance, to ensure robust maintenance of the cold chain.
- Ensure risk is assessed and mitigated in the absence of specific emergency medicine associated with minor surgery and the procedure of fitting specific birth control devices.
- Ensure risk is mitigated in the in the absence of emergency medical equipment such as the defibrillator.
The areas where the provider should make improvement are:
- Ensure systems are in place to inform patients that a private area is available for private discussions.
Professor Steve Field (CBE FRCP FFPH FRCGP)
Chief Inspector of General Practice